The URL can be used to link to this page

PLC-14-1968 (2) Miami Shores Village --_ Building DepartmentVIFID F� ,�� 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 - INSPECTION LINE PHONE NUMBER:(30S)762-4949 FBC 20(() BUILDING (waster Permit No. 14- l L4(pS� PERMIT APPLICATION Sub Permit No.�� !'q— ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL FE-]PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 11300 NE 2 Ave City Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Barry University Phone#: Address:11300 NW 2 Ave City: Miami Shores S I ri Zip: 33161 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Go Plumbing, Inc. Phone#: 954-554-1780 Address: 7927 NW 38th Court City: Davie State: Florida Zip: 33024 Qualifier Name: Mark Gasch �^ Phone#: 954-554-1780 State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Gallo Herbert Architects Phone#: 954-794-0300 Address:1311 W Newport Center Dr. Suite C City: Deerfield Beach state: FL Zip: 33442 Value of Work for this Permit:$$4,350.00 Square/Linear Footage of Work: Type of Work: ❑ Addition A Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: Interior Bucky's CoveL.&DIMIn Specify color of color tthru tile: Submittal Fee$ � °COW Permit Fee$ f CCF CO/CC$ Scanning Fee$ Qi .• CS� Radon Fee$ a DBPR$ Notary$ (1) Technology Fee$ CD Training/Education Fee$ C30 Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Rev1sed02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant. As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature 63./4 �• a �d+� Signature OWNER or AGENT CONTRACTOR The for oing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of - e 20—��by 4 day of September ,20 14 by 41n&I who is personally known to Mark Gasch ,who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: • d'u'—, Sig �YIJ Print: II Print: ' .�� 1SIOry •. qMY cMM13S10N M EE876792 �� Q4 Seal: Seal: EXPIRES June 06,2017 _ ��@J� �jd 9 i � 49 308.9163 FbNdaM Do9.ean • APPROVED BY Plans Examiner Zoning 1111111 fit 11 Structural Review Clerk (Revised02/24/2014) a rn m O OD N O r N M G) 0 v c o KEN LAWSON,SECRETARY r RICK SCOTT,GOVERNOR STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CF01428780 Tt PLUMBING CONTRACTOR .� Named below IS CERTIFIED w+R Urder the provisions of Chapter 489 FS. Eviration date: AUG 31,2016 GASCH,MARK ALLEN GO PLUMBING INC ` 7927 NW 38TH COURT DAVIE FL 33024 DISPLAY AS REQUIRED BY LAW sEQ# L1401140000822 On 41. ISSUED: 0711412014 N N W C v p O E 3 D_ 0 C7 Sep 081412:02p Go Plumbing,Inc. 7542234701 p.3 BROWARD COUNTY LOCAL BUSINESS TAX R E RECEIPT -aaoo 115 S.Andrews Ave., Rm.A-1 00,Ft. Lauderdale, FL 33301-1895 VALID OCTOBER 1,2014 THROUGH SEPTEMBER 30,2015 Receipt#.182-256084 LUKNN SPRNKL/CONTRr►CTOR Business Name:GO PLUMBING, INDBA. C. Business Type:(pLumIim) Business Opened:o6/12/2013 Owner Name:mARx ALLWI GAScH StatetCoutttylCetgReg•CFC1428760 Business Location:7927 NW 3s CT Exemption Code: DAVIE Business Phone: Sem Employees Machines Professionals Rooms 3 For VemOng Business Only Vending 8 Type Penalty Pr�rYears Collecttar Cost Tota!Paid Tax Amount Transfer Fee NSF Fee 0.00 0.00 27.00 27.00 0.00 0.00 0.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS d County and is THIS BECOMES A TAX RECEIPT This tax is ieAed for on_-gulatory n nnatu e. you emust meet business County and/or Munridpaiity planning WHEN VALIDATED and zoning requirements.This Business Tax Receipt must be transferred when the business is said, business name has changed or You have moved the business location.This receipt does not indicate that the business is Legal or that it is in compliance with State or local laws and regulations. Mailing Address: Receipt #1CP-13-04009967 MARK ALLEN GASCH paid 07/31/2014 27.00 7927 NW 38 CT DAVIE, FL 33024 U.S.A. 2014 - 2015 09/09/2014 TUE 14: 04 FAX U002/002 IE: CERTIFICATE OF LIABILITY INSURANCE �g%2014 THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO MGM UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE. COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(Sh AUTHORI2ED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If to certiflcato holder Is an ADDITIONAL INSURED,the polley(ies)must be endorsed. If SUBROGATION 16 WAIVED,subject to the terme end conditlons of Me policy,evuln policies mey require an endoreament A statsmant on this cortiScate does rwt corlfar rights to the cartlticMa holder In lieu of such widasems PRODUCER Christina anman, CISR Frank A. 8u==, Inc. (954)943-5050 (954)942-ESio 1314 East Atlantic Blvd. obrietina@ivaaaainausanoa.00m P. 0. Box 1927 INeu AFFORDDrocovERABE NA169 Pompano Beach FL 33001 DISURERA�ACCh Cial insurance Co 1199 111811111110Go Plumbing Inc INSURER C: 7927 NK 30th Court DISUR6RD: INSURER E: Holl d FL 33024 COVERAGES CERTIFICATE NLIMBERA41/15 tom. REVISION NUMBER, THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVWTHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VVTfH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INOR JJIL TYPE OF INBYRANCE ym POUCYNUMNM 11161MI AwNfl LIMITS GENERAL U AWLITY EACH OCCIMENCE 5 1,000,000 X COMMERCIAL GENERAL LIABILITY enoel 5 100,000 A CLAIMS-MADE ©OCCUR 01029600 /5/2016 /3/2015 MAD EXP am 5 10,000 PERSONAL4ADVIRMY 5 11000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AG TE LIMITAPPLIES PER PRODUCTS-COMPIOP AGO S 1,000,000 X I Paucy P LJ LOC $ AUTOMOBILELIABILITY W&NIED SINGLE LIMIT mm I ANY AUTO SwLY INJURY(Per pSea:) S AU.OMED pSpUC�J4H1'EOULED 50WLYINJUW(Pereodaerd) 5 AIATDE WN00 MED PROPERTY S I HIREOAUTOS AUTOS a UMaRELLA LIAROCCUR EACH OCCLIRRENCE S 6X0698 UAB pA,Ms aerwE ACORE0AT6 5 DEDI I RETENTION 5 = lomu B coaGPE"TlOu) AND EMPLOYERS'UAMUTY TCW LIM GR ANY PROPRIETORJPARTNERMXECUTIVE a NAA E,L,EACHACAIDENT S (fieIN M41 EXCLUDED? NIA DISEASE-EA RMI'LOYE1 5 Ry8B�dou dee umw DESCRIPTION OF OPERATIONS Eaton E.L.DISEASE-PWUOY LIMrr DESMPDON OF OPERATIONS I LDCA7MN8/YEIEC668 1L M ACORD 191,Addfflwal Remoft ffdwIUI%Ir alae epee 1519RUUeol CERTIFICATE HOLDRIt CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELL ED EiEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE 09UVE M IN Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Avenue Alia Shores Village, FL 33130 aullloRlz�REPRES6NTa71V6 Disk Ds TanIr/B9 'ezooe�~ ACM 25(2010105) 01906-2010 ACORD CORPORATION.AN rhghis reserved. INS025 r mm M TYIa Annan name and Innn am rw Wfanad,narke of AMRn 09/09/2014 TUE 14: 04 FAX Q00I/002 co�• DATE(rmalDaIYYYY! CERTIFICATE OF LIABILITY INSURANCE 09=12014 THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND EXTEND OR ALTER TI4E COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE'A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is ah ADDITIONAL INSURED,the policyites)must be endorsed. If SUBROGA110N IN WAIVED,subject to the terms and condltlons of ft policy,mulnpollclee may repulre an endoraemena A statement on this certlfh m does not confer N le to the certificate holder In lieu of such endorsmnen s. PRODUCER fijffAw Paychex Inswunce Agency Inc PAC150 Sj p S D CE AGENCY,INC.IVE vxq- 877 266.8880 • 686,989-7428 ROCHESTER,NY 14620 a aAAI �y �m INSUM11M AFFORDING COVERAW MAIDS INSURED INSURER A: TedurobV Irtsumnoe Company 42378 i GO PLUMBING,INC. INSURER B. 7927 NW 38TH CT. HOLLYWOOD,FL 33024 INSURER c: INSURER D: U ;r—mR E: INSURER F; COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOIWIT'NSTANDI NG ANY REQUIREMENT,TERRA OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, TYPE OF INSURANCE D.DL W1 POIJCY NUMBER POLICY EFF POLICY EAP LIMITS GENERAL LIABILITY EACH OCCUFUMNIC: $ commr m GeNERAt.UA®1UTY DAMAGE RENTEO tl �IAINIS.MAD�CUR MED EXP(My mre pereen) $ .• •. PERSONAL S ADV INJURY $ GENERALAGGREGATE $ 1 AGLRtEOATE WMR APPLIES PER: PRODUCTS•P.OMr'fOP A00 POLICY =P amt 7l:AC $ AU TOMOSILE LIABILITY Ewe NGLE LIMIT 3 WYavm MW LIMN) S taRaoa1rt� (PeroAUTM MMM dwst)[NA $ (Por�da�1) D R PER1Y QAMAOE $ UNBREUA M 1. ..l oaa:R EACH OCCURRENCE $ emcee IJAB Q CUMMAUM AGGREGATE $ Iwo I I RLITTINTION{ $ WGKIOOtO CpptEN9AT10A1 MID X we erAYu 01lb E&MURE UAORm TWC3421514 06/05/2014 08AWM15 EL EACH ACCIDENT $ 100.000.00 ANYPMOP TOWPARTNP.W@JrE1X1M OFFMOAMMEM E WED? E.L CORME•FA EMPLOYEE $ 100,000.00 (NrMdlop b KIA NIA EL OWME-POLICY UMR $ 50,000.00 0�.E�aette11w0a DESCRIPTION OF OPERATIONS I LOCATIONS I VENICLES(Attach ACORD 101,AddllkmW RqmAv 0Wwda4,it mm grow N.awMd) CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE 614CULD ANY OF THE ABOVE DESGREED POLICIES BE CANCBILED 1100211 THE EXPIRATION I MM NORTHEAST SECOND AVE DATE THEREOF,NOTICE WRL aE OEUVERED 01 ACCORDANCE Ynrlt THE POLICY MIAMI SHORES VILLAGE,FL 33138 PROtlOW11%BUT FAILURN TO MAIL WCH NOTICB SHALL WPOSP NO OBLIGATM OR LuuuLIIY OF ANY KOIO UPON THE COMPANY,n8/GENTS OR REPRESI ffATM8, AUTHORIZED REPRESENTATIVE ACORD 25(8M0105) 49588.2010 ACORD CORPORATION, Ali rights rsserwd. The ACORD name and loge are registered marks of ACORD